Ideal Image

NPI #1255789368 in Naples, Florida

Provider Information

NPI Number: 1255789368
Entity Type: Organization
Organization Name: Ideal Image
Primary Specialty: Specialist
Enumeration Date: May 31, 2016
Last Updated: May 31, 2016

Practice Location

Address: 1485 PINE RIDGE ROAD UNIT #1
City: Naples
State: Florida
ZIP Code: 34109
Phone: (239) 596-2005

Authorized Official

Name: DR. KRISTON KENT, M.D
Title: MEDICAL DIRECTOR IDEAL IMAGE
Phone: (239) 514-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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